Provider Demographics
NPI:1114691714
Name:JEAN CHARLES, SASKYA
Entity Type:Individual
Prefix:
First Name:SASKYA
Middle Name:
Last Name:JEAN CHARLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-2661
Mailing Address - Country:US
Mailing Address - Phone:305-399-9047
Mailing Address - Fax:
Practice Address - Street 1:330 GROVE ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3909
Practice Address - Country:US
Practice Address - Phone:855-646-8247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst